Mr Chad J Nicholson, PT in Orange, CA - Medicare Physical Therapist Provider

Mr Chad J Nicholson, PT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Orange, California. His current practice location is 4201 W Chapman Ave, Orange, California. You can reach out to his office (for appointments etc.) via phone at (714) 748-6146.

Mr Chad J Nicholson is licensed to practice in California (license number 32495) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013127133.

Contact Information

	Mr Chad J Nicholson, PT
	4201 W Chapman Ave, Orange, CA 92868-1505
	(714) 748-6146
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Chad J Nicholson
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	4201 W Chapman Ave, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013127133
Provider Enumeration Date: 05/24/2007
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 6608906102
Enrollment ID: I20100609001003

Medical Identifiers

Medical identifiers for Mr Chad J Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013127133	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	32495 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Chad J Nicholson allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Chad J Nicholson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Chad J Nicholson, PT 4201 W Chapman Ave, Orange, CA 92868-1505 Ph: (714) 748-6146	Mr Chad J Nicholson, PT 4201 W Chapman Ave, Orange, CA 92868-1505 Ph: (714) 748-6146

Reviews and Comments

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Mr Chad J Nicholson, PT - Medicare Physical Therapist in Orange, CA